DR. ELYCEIA MONA DORTCH (NPI# 1700205879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205879 |
| Entity Type | Individual |
| Full Name | DR. ELYCEIA MONA DORTCH |
| Credential | M.D. |
| Practice Address |
2525 Cumberland Pkwy Se Atlanta GA 30339-3915 |
| Mailing Address |
60 11th St Ne Apt 714 Atlanta GA 30309-4362 |
| Practice Telephone | 4706980239 |
| Mailing Telephone | 4044445634 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
80280 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5596 Marbut Rd, Lithonia, GA 300587855 | 4044445634 |
| Street Address |
2525 CUMBERLAND PKWY SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350801 | Sharon D Walsh | Emergency Medicine | 2525 Cumberland Pkwy Se, Kp Cumberland Medical Center, Atlanta, GA 30339-3915 | 2005-10-19 |
| 1578162970 | Stella Dimaris Cruz Rodriguez | Psychologist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2020-10-19 |
| 1275181182 | Sheree King Ash | Psychologist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2019-09-04 |
| 1235668393 | Katelyn Hovan | Nurse Practitioner | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2017-06-12 |
| 1497298095 | Jane Dausner | Social Worker | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-11-30 |
| 1962865287 | Tracey Speed | Respiratory Therapist, Registered | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-04-04 |
| 1306202692 | Lajuana Denise Claytor | Respiratory Therapist, Certified | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2016-01-03 |
| 1942699426 | Margot E Weneck | Nurse Practitioner | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2015-01-21 |
| 1174959738 | Erika Bivins | Pharmacist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2013-09-16 |
| 1215210729 | Kathy Camarero | Pharmacist | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441870 | Joshua Jackson | Internal Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2015-07-06 |
| 1467794057 | Julie Mitchell | Internal Medicine | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2013-03-21 |
| 1295984979 | Sonja Doughlin | Internal Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2008-09-17 |
| 1134390453 | Daniele Sara | Internal Medicine | 3150 Howell Mill Rd Nw, Atlanta, GA 30327-2108 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1396205696 | Hospice Advantage, LLC | Internal Medicine | 107 Southern Blvd Ste 203, Savannah, GA 31405-7435 | 2019-03-22 |
| 1053877993 | Compassus Op of Georgia II LLC | Internal Medicine | 1000 Northside Xing, Macon, GA 31210-2278 | 2019-02-15 |
| 1285190116 | Hospice Advantage, LLC. | Internal Medicine | 2470 Daniels Bridge Rd Ste 171, Athens, GA 30606-6188 | 2019-02-15 |
| 1215245634 | Ginpen, LLC | Internal Medicine | 238 Old Norton Rd, Fayetteville, GA 30215-4921 | 2010-09-20 |
| 1518525112 | Veneranda Ngulefac | Internal Medicine | 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 | 2019-05-30 |
| 1366902058 | Pruitthealth Hospice, Inc. | Internal Medicine | 6060 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-03-20 |
| 1932672300 | St. Mary's Medical Group, Inc. | Internal Medicine | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-08 |
| 1235669045 | Sb Healthcare, LLC | Internal Medicine | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-06-14 |
| 1568999779 | Umg Palliative Care LLC | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2017-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.